| NPI | 1205271368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106401) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA 603270397) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2023-02-13 |