NPI | 1063546083 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 372600000X Adult Companion |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
172V00000X Community Health Worker | |
373H00000X Day Training/Habilitation Specialist | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2025-04-02 |