| NPI | 1437234630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AR NONE) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-03-02 |