| NPI | 1003276510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 102624) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 15811) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |