| NPI | 1083414445 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: CA 27452) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 27452) |
| Enumeration Date | 2025-03-15 |
| Last Update Date | 2025-08-31 |