| NPI | 1588487128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 116690) |
| 172V00000X Community Health Worker (Licence: TX 18907) | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-11 |