| NPI | 1053968081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 6592-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 105947) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |