NPI | 1659920536 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 104100000X Social Worker |
106S00000X Behavior Technician | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-09-04 |
Last Update Date | 2023-09-15 |