| NPI | 1295719995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103656) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 971) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-08-10 |