| NPI | 1891203691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 17577) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201009865) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |