NPI | 1861994386 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 10050) |
172V00000X Community Health Worker | |
Enumeration Date | 2018-02-28 |
Last Update Date | 2024-07-29 |