| NPI | 1508007642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 101184) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 101184) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |