| NPI | 1467221036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102X00000X Poetry Therapist |
| Additional Taxonomies | 101200000X Drama Therapist |
| 2251C2600X Physical Therapist, Cardiopulmonary | |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2023-12-25 |