NPI | 1033740949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 172V00000X Community Health Worker |
101Y00000X Counselor | |
Enumeration Date | 2020-01-29 |
Last Update Date | 2024-10-21 |