| NPI | 1659645026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 2053-27) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 200418) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |