| NPI | 1679169593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106397) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 21579) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |