| NPI | 1689804783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 1027358) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2000160909) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |