NPI | 1801381702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 103K00000X Behavior Analyst |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-25 |
Last Update Date | 2022-04-26 |