NPI | 1053051359 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 374J00000X Doula |
374K00000X Religious Nonmedical Practitioner | |
Enumeration Date | 2022-04-01 |
Last Update Date | 2022-04-01 |