| NPI | 1851777841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 1034693) |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 1034693) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-16 |