| NPI | 1497271142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-10037) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M10037) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-12-13 |