| NPI | 1073997631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106630) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: SD 334A) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2024-01-25 |