| NPI | 1790175586 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH 3881) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 8379) |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2025-01-15 |