| NPI | 1962170837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 563247) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 202463) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2023-09-26 |