| NPI | 1205038304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103497) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ND 939) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2019-08-15 |