| NPI | 1114519212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107358) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225X00000X Occupational Therapist (Licence: OH OT009211) | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2024-03-11 |