| NPI | 1790982585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT-5519) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201006369) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |