| NPI | 1760539795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 957-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103174) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-12-16 |