| NPI | 1033386297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00049222) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2025-06-23 |