| NPI | 1184027492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1212) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 104085) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |