| NPI | 1588516561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-NZJUTD) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2026-02-11 |
| Last Update Date | 2026-05-18 |