| NPI | 1841403631 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201006425)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 012165)  | 
| Enumeration Date | 2007-05-08 | 
| Last Update Date | 2007-07-08 |