| NPI | 1508358698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1288860218) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-10-25 |