NPI | 1225271992 |
---|---|
Former Name | LARRY GUZMAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54345) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 54345) |
Enumeration Date | 2009-04-10 |
Last Update Date | 2018-08-06 |