| NPI | 1750417457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 174400000X Specialist | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2026-09-09 |