| NPI | 1306298229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV IC-2070) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2024-02-01 |