| NPI | 1912307109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103264) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 3919-26) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |