| NPI | 1205478088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 175T00000X Peer Specialist | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2019-10-12 |
| Last Update Date | 2023-11-27 |