NPI | 1033240643 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 58055) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2015-08-27 |