| NPI | 1073122107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 101Y00000X Counselor | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2025-04-16 |