| NPI | 1326577669 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105411) | 
| Additional Taxonomies | 225X00000X Occupational Therapist | 
| Enumeration Date | 2017-06-09 | 
| Last Update Date | 2018-07-05 |