NPI | 1780398156 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 12439-C) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2023-01-10 |
Last Update Date | 2025-06-26 |