| NPI | 1295235786 |
|---|---|
| Other Name | SAMUEL RASMUSSEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHA-I-00497) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR 10218927) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2026-03-03 |