| NPI | 1811102767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201007490) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 11914) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-03-25 |