NPI | 1770618274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
Enumeration Date | 2007-02-23 |
Last Update Date | 2025-09-11 |