NPI | 1922470947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP1600X Counselor, Pastoral | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TH0100X Psychologist, Health Service | |
171M00000X Case Manager/Care Coordinator | |
1744R1102X Specialist, Research Study | |
174H00000X Health Educator | |
174V00000X Clinical Ethicist | |
Enumeration Date | 2015-10-29 |
Last Update Date | 2015-10-29 |