| 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 | 2023-02-22 |