| NPI | 1649713108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA R1473460622) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2024-05-22 |