NPI | 1598583734 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 104100000X Social Worker |
104100000X Social Worker | |
172V00000X Community Health Worker | |
374U00000X Home Health Aide (Licence: DC HHA200004159) | |
Enumeration Date | 2024-09-27 |
Last Update Date | 2025-05-20 |