NPI | 1386237212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
172V00000X Community Health Worker | |
Enumeration Date | 2021-02-11 |
Last Update Date | 2025-05-04 |