| NPI | 1467166231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-06-27 |