NPI | 1942777628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107082) |
Additional Taxonomies | 106S00000X Behavior Technician |
225X00000X Occupational Therapist (Licence: OR 473562) | |
Enumeration Date | 2018-10-31 |
Last Update Date | 2024-11-21 |