| NPI | 1386001642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 676) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103224) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2018-06-29 |