| NPI | 1770632507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106813) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4439-026) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-02-02 |