| NPI | 1801379037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105508) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 090734) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2024-12-16 |