| NPI | 1659982478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 8012) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA RBT-20-131118) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2024-07-13 |