| NPI | 1669037917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106042) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC016256) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2020-10-15 |