| NPI | 1356590343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW71977) |
| 104100000X Social Worker | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2024-05-22 |