| NPI | 1457136160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104355) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 7330-26) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |