| NPI | 1609098474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 102604) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 3748-026) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |