NPI | 1366820755 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker | |
Enumeration Date | 2015-05-18 |
Last Update Date | 2015-05-18 |