| NPI | 1144975186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI C WATLING Founder 763-607-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |