| NPI | 1235553330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106154) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 1790) |
| 225X00000X Occupational Therapist (Licence: IA 092069) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2020-10-13 |