| NPI | 1104081678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103152) |
| Additional Taxonomies | 225XR0403X Occupational Therapist, Driving and Community Mobility (Licence: MN 103152) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |