| NPI | 1659429777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: ND 954) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 103205) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-07-03 |