| NPI | 1215158019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103535) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 01742) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-11 |