| NPI | 1891094413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 60012821) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103241) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2013-06-12 |