| NPI | 1336610203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105736) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 1336610203) |
| 225X00000X Occupational Therapist (Licence: WI 6308-26) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-12-23 |