| NPI | 1972822898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 103996) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 7449) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2018-07-31 |