| NPI | 1962856500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105070) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 355386) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2021-12-08 |