| NPI | 1740643220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009303) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 346904) |
| 225X00000X Occupational Therapist (Licence: TX 117207) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2021-06-02 |