| NPI | 1609313154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 5333-27) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 202198) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |