| NPI | 1679969604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 073153) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 104667) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |