| NPI | 1407259716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104899) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5526-26) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2019-08-28 |