NPI | 1215519905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CA 6577) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-04-22 |
Last Update Date | 2023-10-05 |