| NPI | 1750724894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 22250) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 104329) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2021-09-07 |