NPI | 1477614956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 102979) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 102979) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2020-08-10 |