NPI | 1699116863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105863) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 201759) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2019-05-20 |