| NPI | 1891682746 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH 3417) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 030179) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |