| NPI | 1780158493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201011315) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2022-05-12 |