| NPI | 1841506276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA APC002150) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2026-08-07 |