| NPI | 1154736767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105030) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 5873) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2016-01-11 |