| NPI | 1598977647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 74900) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-05-13 |