NPI | 1003043142 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL B 5020) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL B 5020) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2009-06-16 |