| NPI | 1932743523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106725) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 097534) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2021-12-28 |