NPI | 1528287703 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA PLC9533) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2023-07-26 |