NPI | 1053889402 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9814-123) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927153) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2018-11-04 |
Last Update Date | 2024-04-15 |