| NPI | 1881078814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201010085) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 330305) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2021-04-16 |