| NPI | 1841678265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 13318) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: 305507) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2023-11-08 |