| NPI | 1831766153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: NV OT-3193) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: CA 18704) |
| Enumeration Date | 2021-06-06 |
| Last Update Date | 2023-09-26 |