| NPI | 1417643164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107151) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 107151) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-12-06 |