| NPI | 1629490230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 12662) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2019-04-10 |