| NPI | 1164684635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104587) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 4642) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2017-04-06 |