| NPI | 1649157827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CA 01141407) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 01141407) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA 01141407) | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |