| NPI | 1144559519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2026-01-30 |