| NPI | 1366787368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 1723-27) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 200116) |
| Enumeration Date | 2012-12-01 |
| Last Update Date | 2012-12-01 |