| NPI | 1023305810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009249) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 100949) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2018-08-20 |