NPI | 1194343723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8488) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2020-07-09 |
Last Update Date | 2024-06-26 |