| NPI | 1962584250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 3072) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 102008) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-09 |