| NPI | 1548664063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105430) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 074903) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2022-07-21 |