| NPI | 1558979112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106174) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 669426) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2022-08-17 |