| NPI | 1659681005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 334) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WI 334-26) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 103074) | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2021-10-13 |