| NPI | 1992740419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 101153) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 2549-26) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-02-17 |