| NPI | 1649266420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107537) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT 006224) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2024-08-14 |