| NPI | 1962966432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 28769) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2024-06-18 |