| NPI | 1013564541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 8821) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 108031) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2026-01-06 |