| NPI | 1942546791 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 846)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 102784)  | 
| Enumeration Date | 2012-12-26 | 
| Last Update Date | 2012-12-26 |