NPI | 1841009552 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS006072) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2025-01-07 |
Last Update Date | 2025-07-16 |