| NPI | 1558897728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 11488) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 11488) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2024-02-16 |