| NPI | 1992867345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104662) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2016-12-05 |