| NPI | 1316820673 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 8685) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WI 8685-26) |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-08-25 |