| NPI | 1851672562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner (Licence: TX ATP 44058) |
| Additional Taxonomies | 225CA2500X Rehabilitation Counselor, Assistive Technology Supplier (Licence: TX ATP 44058) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |