NPI | 1467885327 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: LA 6958) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 6958) |
171M00000X Case Manager/Care Coordinator (Licence: LA 6958) | |
Enumeration Date | 2013-08-14 |
Last Update Date | 2022-11-30 |