| NPI | 1740745975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CA 4713) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 409743) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2023-03-14 |