| NPI | 1750626958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 4774-027) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 201718) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |