| NPI | 1316495104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO OT.0005640) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 105253) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2018-10-03 |