| NPI | 1396861076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 227377) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 112157) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2024-08-05 |