| NPI | 1356709927 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104450) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 002327) | 
| 225X00000X Occupational Therapist (Licence: OR 307425) | |
| 225X00000X Occupational Therapist (Licence: CO OT.0004499) | |
| Enumeration Date | 2016-02-10 | 
| Last Update Date | 2016-02-10 |