| NPI | 1235317488 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XH1300X Occupational Therapist, Human Factors |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |