| NPI | 1487973921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 102384) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4080-026) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2011-03-03 |