| NPI | 1235703406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107871) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2025-08-19 |