| NPI | 1902111487 |
|---|---|
| Former Name | ARLIE LYNEE DOUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104995) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 7257) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2015-12-18 |