| NPI | 1730487307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104046) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4995) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-07-21 |