| NPI | 1710069059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 448) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 100642) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |