NPI | 1447022025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: WA CG61500009) |
Enumeration Date | 2023-10-26 |
Last Update Date | 2024-04-12 |