| NPI | 1659911584 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105522)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60933195)  | 
| Enumeration Date | 2020-01-08 | 
| Last Update Date | 2023-04-06 |