| NPI | 1750730354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 106007) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5893-26) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2020-06-25 |