| NPI | 1396295622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10716) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 105160) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2018-01-23 |