NPI | 1538531470 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 24-QMHA-R-5433) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2015-10-29 |
Last Update Date | 2024-07-29 |