| NPI | 1487330379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 376J00000X Homemaker | |
| 171400000X Health & Wellness Coach | |
| 171W00000X Contractor | |
| 172V00000X Community Health Worker | |
| 101Y00000X Counselor | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |