| NPI | 1497252092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106075) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 201797) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2019-09-18 |