| NPI | 1720348014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104419) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ND 1267) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2014-10-14 |