| NPI | 1619368628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104897) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4871-026) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-12-02 |