| NPI | 1346831328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 101Y00000X Counselor |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2025-05-14 |