| NPI | 1497262281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: DC LG50082940) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 22044) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2024-01-19 |