| NPI | 1770353609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107089) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 8443) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-08 |