| NPI | 1629523097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 101150) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 083893) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2019-04-05 |