| NPI | 1063762011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104308) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 20901) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2021-12-27 |