NPI | 1013728955 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 103T00000X Psychologist |
174H00000X Health Educator | |
Enumeration Date | 2025-01-20 |
Last Update Date | 2025-01-20 |