| NPI | 1205306867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105715) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 0005261) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-11-01 |