| NPI | 1124453782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 101982) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A796) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2017-05-12 |