NPI | 1710234976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2012-08-07 |
Last Update Date | 2018-12-03 |