| NPI | 1659192607 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-03717) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2020010991) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2025-01-23 |