| NPI | 1457776726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| 101Y00000X Counselor | |
| 172V00000X Community Health Worker | |
| 1041C0700X Social Worker, Clinical (Licence: CA 74288) | |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2016-11-27 |