NPI | 1851574404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2007-12-06 |
Last Update Date | 2009-02-18 |