| NPI | 1013403989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA CG60881839) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-12-27 |