| NPI | 1922888791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2026-02-02 |