NPI | 1629601604 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QC1500X Clinic/Center, Community Health | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical (Licence: TX 62615) | |
1041S0200X Social Worker, School | |
171M00000X Case Manager/Care Coordinator | |
251B00000X Case Management | |
261QM0801X | |
Enumeration Date | 2020-02-18 |
Last Update Date | 2023-07-11 |