NPI | 1356552442 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH002056) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2007-05-24 |
Last Update Date | 2016-07-13 |