| NPI | 1609540046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106632) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 108417) |
| Enumeration Date | 2021-08-08 |
| Last Update Date | 2021-08-31 |