| NPI | 1992428379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107638) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 481408) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2025-02-25 |