| NPI | 1760740740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201004034) |
| Additional Taxonomies | 225XE0001X Occupational Therapist Environmental Modification (Licence: MI 5201004034) |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: MI 5201004034) | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-11-06 |