| NPI | 1437431004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105420) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 287391) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2019-03-07 |