NPI | 1780172908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 101Y00000X Counselor |
103TH0100X Psychologist, Health Service | |
Enumeration Date | 2018-04-24 |
Last Update Date | 2018-04-24 |