| NPI | 1790288702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201005911) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI 5201005911) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |