| NPI | 1174995898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: ND 1375) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 201990) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |