NPI | 1821986183 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA MPSS-QINHEK) |
Enumeration Date | 2025-06-25 |
Last Update Date | 2025-07-24 |