| NPI | 1972393759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI6534) |
| Additional Taxonomies | 225500000X Specialist/Technologist (Licence: FL SZ12922) |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-09-17 |