NPI | 1851703979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60443138) |
Enumeration Date | 2014-05-22 |
Last Update Date | 2023-08-28 |