NPI | 1699806075 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA None2) |
172V00000X Community Health Worker | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2025-05-15 |