NPI | 1265818876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106S00000X Behavior Technician | |
251B00000X Case Management | |
Enumeration Date | 2015-08-05 |
Last Update Date | 2023-06-27 |