| NPI | 1194384198 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105699) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 6541-26) | 
| Enumeration Date | 2019-06-12 | 
| Last Update Date | 2024-07-22 |