| NPI | 1578909453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007823) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 104168) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2019-06-11 |