| NPI | 1427485192 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 4145) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 10108) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2024-03-10 |