| NPI | 1396337366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: MN 105820) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2022-03-08 |