| NPI | 1861994089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107445) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201009831) |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2025-08-12 |