| NPI | 1356767479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: NE 12342) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2020-09-09 |