| NPI | 1104570654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 7257-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 106557) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2024-08-14 |