| NPI | 1487063871 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 8569) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 107403) | 
| 225X00000X Occupational Therapist (Licence: SD 1070) | |
| Enumeration Date | 2014-08-11 | 
| Last Update Date | 2024-04-01 |