NPI | 1184959256 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX 15042) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 15042) |
251B00000X Case Management (Licence: TX 15042) | |
Enumeration Date | 2009-10-07 |
Last Update Date | 2024-02-05 |