| NPI | 1215493655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105651) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 6442-26) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2021-09-30 |