| NPI | 1780252726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-16 |