| NPI | 1487172763 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106342) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 20541) | 
| Enumeration Date | 2017-09-06 | 
| Last Update Date | 2020-09-30 |