| NPI | 1366190134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107418) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 7206-26) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2024-05-06 |