| NPI | 1720701808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107188) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119008251) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2023-07-19 |