| NPI | 1548792021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104064) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: MN 104064) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2018-05-07 |