| NPI | 1871963223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104158) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 002272) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |