| NPI | 1679451538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-MPDAWF) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 174H00000X Health Educator | |
| 225400000X Rehabilitation Practitioner | |
| 372600000X Adult Companion | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |