| NPI | 1073884128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 0492) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 102551) |
| 225X00000X Occupational Therapist (Licence: IA 01342) | |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2012-01-21 |