| NPI | 1760150668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 7071-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 106616) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |