NPI | 1265797229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YS0200X Counselor, School | |
171400000X Health & Wellness Coach | |
171M00000X Case Manager/Care Coordinator | |
172V00000X Community Health Worker | |
1744R1102X Specialist, Research Study | |
174H00000X Health Educator | |
Enumeration Date | 2012-07-05 |
Last Update Date | 2024-06-12 |