| NPI | 1760961627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105778) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 5642) |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2022-07-29 |