| NPI | 1538775309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |