NPI | 1093948689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 172V00000X Community Health Worker |
225400000X Rehabilitation Practitioner (Licence: N/A) | |
Enumeration Date | 2009-08-28 |
Last Update Date | 2025-07-30 |