| NPI | 1386853802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: ND 1008) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 103419) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2015-01-27 |