| NPI | 1831733401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201010829) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 120382) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2020-12-14 |