| NPI | 1992215214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106193) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT17588) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2021-12-17 |