| NPI | 1124651054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106561) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 13067) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2021-06-03 |