| NPI | 1134776271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107505) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-09-09 |