| NPI | 1265995567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 171R00000X Interpreter |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2025-03-21 |