| NPI | 1033823349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107104) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 5978-Temp) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-03-03 |