| NPI | 1952986267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: HI OT-2614) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-21-155084) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2025-04-09 |