| NPI | 1194824979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH10576) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-11-03 |