NPI | 1457730210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802061483) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802061483) |
Enumeration Date | 2015-05-27 |
Last Update Date | 2024-08-08 |