| NPI | 1134233232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NH 1022) |
| 103TC0700X Psychologist, Clinical (Licence: NH 1022) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2011-04-28 |