| NPI | 1922521566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103332) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MN 431802466) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: MN 1669425823) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-06-16 |