NPI | 1487161949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CA 469965) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-01-05 |
Last Update Date | 2022-05-03 |