| NPI | 1811373251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201010361) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: MI R220439465648) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2019-08-27 |