| NPI | 1760926612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C11449) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2026-03-13 |