| NPI | 1154891695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105848) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: MN 105848) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-03-25 |