| NPI | 1497620223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |