| NPI | 1699141978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104856) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 6222) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |