NPI | 1528573730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801102647) |
104100000X Social Worker | |
Enumeration Date | 2017-12-11 |
Last Update Date | 2025-07-15 |