| NPI | 1992435028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant |
| 103TA0700X Psychologist, Adult Development & Aging | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |