| NPI | 1376318956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225CA2500X Rehabilitation Counselor, Assistive Technology Supplier |
| Additional Taxonomies | 225CA2500X Rehabilitation Counselor, Assistive Technology Supplier |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2023-11-24 |