| NPI | 1962498881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 103458) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00003971) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2017-03-29 |