NPI | 1801195896 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 15637) |
Enumeration Date | 2011-03-16 |
Last Update Date | 2011-03-16 |