| NPI | 1841561719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104516) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5140) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2019-08-20 |