| NPI | 1134533714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 101190) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 2615-026) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2020-10-15 |