| NPI | 1467617415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104860) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2016-05-31 |