| NPI | 1962610220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 12560) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201005407) |
| 225X00000X Occupational Therapist (Licence: MA 9113) | |
| 225X00000X Occupational Therapist (Licence: SC 2481) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2007-07-08 |