| NPI | 1598723967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: PA OC004886L) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC004886L) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-03-29 |