| NPI | 1467626564 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 102990) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.004347) | 
| Enumeration Date | 2008-04-18 | 
| Last Update Date | 2012-02-06 |