| NPI | 1558900530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 434464) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 106170) |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2022-03-30 |