| NPI | 1265260640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: TN 26-2537-0-51918) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |