| NPI | 1962386706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107875) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ND 2227) |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |