| NPI | 1487947313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105640) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 4810) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2018-06-19 |