| NPI | 1740162320 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |