| NPI | 1396175949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC RN200001533) |
| Additional Taxonomies | 251B00000X Case Management |
| 171M00000X Case Manager/Care Coordinator | |
| 374U00000X Home Health Aide | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2024-04-09 |