| NPI | 1235959578 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT.OT.61597508) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: WA OT.OT.61597508) |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: WA OT.OT.61597508) | |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |