| NPI | 1639604697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105401) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ND 1553) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2020-05-20 |