| NPI | 1760998769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106958) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 6571) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2022-10-10 |