| NPI | 1255509659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103556) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ND 1100) |
| 225X00000X Occupational Therapist (Licence: WI 5161-26) | |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2015-03-24 |