| NPI | 1710499249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104962) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 080164) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2020-09-30 |