| NPI | 1861709172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102X00000X Poetry Therapist (Licence: GA 00000000) |
| Additional Taxonomies | 172A00000X Driver (Licence: GA 051608273) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |