| NPI | 1053656231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 4717-27) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 201569) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |