| NPI | 1548713316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105186) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 360268) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2021-01-05 |