| NPI | 1952986697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106454) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 20385) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |