| NPI | 1275695348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 1872-027) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 201250) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |