| 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 |