| NPI | 1104078070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AR 12911-M) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR PLMSW) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2023-08-15 |