| NPI | 1386308799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106992) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID 2472) |
| 225X00000X Occupational Therapist (Licence: MN 5963) | |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2022-12-01 |