| NPI | 1275054546 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31000043) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201003038) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |