| NPI | 1942685193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MN 202027) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 12585) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |