| NPI | 1417160169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4163026) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 101276) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |