| NPI | 1598583734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA200004159) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 104100000X Social Worker | |
| 104100000X Social Worker | |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2025-03-28 |