| NPI | 1821459124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105101) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 081816) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |