NPI | 1306567144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL FL19623) |
Enumeration Date | 2022-09-09 |
Last Update Date | 2024-05-09 |