| NPI | 1861885477 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 174400000X Specialist (Licence: MI 5201001795)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201001795)  | 
| Enumeration Date | 2015-03-07 | 
| Last Update Date | 2019-07-30 |