NPI | 1023743457 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 104100000X Social Worker |
106S00000X Behavior Technician | |
Enumeration Date | 2022-07-20 |
Last Update Date | 2024-09-04 |