| NPI | 1639701204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 106252) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 5763) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2022-06-07 |