| NPI | 1952762197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105486) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5846-026) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2020-10-13 |