| NPI | 1578894218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105296) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 3783) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KS 24-00725) | |
| 225X00000X Occupational Therapist (Licence: CA 19474) | |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2025-04-29 |