| NPI | 1760944698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 6548-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 105990) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2022-03-31 |