| NPI | 1417429937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA SC60920932) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60920932) |
| 1041S0200X Social Worker, School (Licence: WA 60920932) | |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2022-02-25 |