| NPI | 1275918245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 66177) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2016-02-04 |