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 |