| NPI | 1780255059 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 121920) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2023-09-05 |