| 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 |