| NPI | 1922403260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104982) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5547) |
| 225X00000X Occupational Therapist (Licence: UT 11293688-4201) | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2022-12-28 |