| NPI | 1962827543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 104600) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 103958) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2015-08-18 |