NPI | 1770360158 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 123978) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2023-09-11 |
Last Update Date | 2025-08-21 |