| NPI | 1790273696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106215) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201009446) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2022-08-21 |