NPI | 1295719995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103656) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 971) |
Enumeration Date | 2005-12-06 |
Last Update Date | 2020-08-10 |