NPI | 1730816067 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: TX 1246-0521) |
Additional Taxonomies | 171400000X Health & Wellness Coach |
171M00000X Case Manager/Care Coordinator | |
172V00000X Community Health Worker | |
Enumeration Date | 2022-08-05 |
Last Update Date | 2022-08-05 |