| NPI | 1972654630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201005929) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AK 1459) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2022-07-21 |