| NPI | 1417387929 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 1854) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OK 1861) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2021-08-16 |