| NPI | 1285156240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MN 29960) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 224Z00000X Occupational Therapy Assistant (Licence: MN 202182) | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2024-09-01 |