NPI | 1063888519 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: 12853) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2018-09-20 |