| NPI | 1942543939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: MA 2327) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 2327) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |