| NPI | 1568994192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 08139) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 118701) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2019-02-20 |