NPI | 1316701998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist (Licence: CA 1316701998) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NA) |
172V00000X Community Health Worker | |
Enumeration Date | 2024-02-13 |
Last Update Date | 2025-04-29 |