| NPI | 1235302928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 106S00000X Behavior Technician | |
| 101YM0800X Counselor, Mental Health (Licence: CA VN233191) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2026-03-30 |