| NPI | 1073278776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MN 202668) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 202668) |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2023-11-07 |