NPI | 1770144693 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: LA 4589) |
Additional Taxonomies | 104100000X Social Worker |
171M00000X Case Manager/Care Coordinator (Licence: LA 4837) | |
Enumeration Date | 2019-06-21 |
Last Update Date | 2019-08-27 |