NPI | 1649601048 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 172V00000X Community Health Worker |
174H00000X Health Educator | |
104100000X Social Worker | |
103K00000X Behavior Analyst | |
Enumeration Date | 2013-12-10 |
Last Update Date | 2015-07-01 |