| NPI | 1225389430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 211181) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2023-10-31 |