| NPI | 1629012760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104627) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4024) |
| 225X00000X Occupational Therapist (Licence: MO 2011035655) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-05-26 |