NPI | 1710720735 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 104100000X Social Worker |
171WH0202X Contractor, Home Modifications | |
172V00000X Community Health Worker | |
Enumeration Date | 2024-06-17 |
Last Update Date | 2024-06-17 |