| NPI | 1144686072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 108) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 100424) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |