| NPI | 1508171323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4923-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103947) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2021-06-22 |