NPI | 1669536215 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: TX 02069) |
Additional Taxonomies | 251B00000X Case Management (Licence: TX 02069) |
171M00000X Case Manager/Care Coordinator (Licence: TX 02069) | |
Enumeration Date | 2006-12-20 |
Last Update Date | 2007-11-26 |