NPI | 1487028510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098375) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 105520) |
171M00000X Case Manager/Care Coordinator (Licence: MI 6801098375) | |
104100000X Social Worker (Licence: MI 6801098375) | |
Enumeration Date | 2015-12-01 |
Last Update Date | 2023-10-06 |