NPI | 1114250891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: AL 2719B) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AL 2719B) |
Enumeration Date | 2009-09-11 |
Last Update Date | 2009-09-11 |