| NPI | 1962833723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: FL OT3105) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT3105) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |