| NPI | 1790237774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1514) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 105266) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2018-04-10 |