| NPI | 1265882138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5899 - 26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 105145) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |