| NPI | 1902405426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 107719) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2025-09-19 |