| NPI | 1831430487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104332) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CO 0003669) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2023-06-12 |