NPI | 1972877694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
103K00000X Behavior Analyst | |
Enumeration Date | 2012-02-27 |
Last Update Date | 2014-08-11 |