NPI | 1134327166 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225800000X Recreation Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
172V00000X Community Health Worker | |
Enumeration Date | 2007-07-11 |
Last Update Date | 2025-07-15 |