| NPI | 1093172074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103201) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ND 1124) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |