| NPI | 1669522520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: ND 771) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 101102) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-09 |