| NPI | 1750806592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105518) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 388094) |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2021-04-26 |