| NPI | 1932518859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 7132) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201008350) |
| 225X00000X Occupational Therapist (Licence: AZ 7132) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201008350) | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2019-06-24 |