| NPI | 1396230728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 171R00000X Interpreter | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-07-09 |