| 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 |