| NPI | 1972806586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist (Licence: CA MPSS-QIKCWU) | |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2025-03-27 |