| NPI | 1932463379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104245) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 104245) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2019-07-15 |