| NPI | 1831554179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 102200) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 1038701) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |