NPI | 1265667315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103K00000X Behavior Analyst |
174400000X Specialist | |
Enumeration Date | 2009-05-19 |
Last Update Date | 2010-07-08 |