| NPI | 1962370817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 25169070628) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 125564) |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-24 |