| NPI | 1760815492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1293) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 102976) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |