| NPI | 1669261707 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 10150) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |