| NPI | 1962747857 |
|---|---|
| Former Name | MICHELL NIEBUHR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 248209) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60282810) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2019-10-07 |