NPI | 1639852577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
171M00000X Case Manager/Care Coordinator | |
251B00000X Case Management | |
Enumeration Date | 2023-08-08 |
Last Update Date | 2023-08-08 |