| NPI | 1831271253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 102418) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5033-026) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-09-23 |