| NPI | 1801202577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 116218) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201006515) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |