| NPI | 1053885574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106749) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 12711) |
| 225X00000X Occupational Therapist (Licence: WV 2010) | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2022-04-05 |