NPI | 1841919859 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101Y00000X Counselor |
390200000X Student in an Organized Health Care Education/Training Program | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2022-08-23 |
Last Update Date | 2024-09-03 |