NPI | 1033681895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2102209-TRNE) |
172V00000X Community Health Worker | |
Enumeration Date | 2018-12-18 |
Last Update Date | 2022-11-29 |