| NPI | 1891129466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201004921) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502003048) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |