| NPI | 1366026742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator (Licence: CO ACD.0001780) | |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2022-04-25 |