NPI | 1801386115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 107078) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 18694) |
Enumeration Date | 2018-05-11 |
Last Update Date | 2023-05-18 |