NPI | 1386972180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 38353) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2009-12-07 |
Last Update Date | 2023-02-07 |