NPI | 1881392173 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 103K00000X Behavior Analyst |
222Q00000X Developmental Therapist | |
Enumeration Date | 2023-02-16 |
Last Update Date | 2023-03-08 |