NPI | 1568611002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
Enumeration Date | 2008-09-09 |
Last Update Date | 2008-09-09 |