| NPI | 1639682776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MN 105301) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2021-09-20 |