NPI | 1780435974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
376J00000X Homemaker | |
Enumeration Date | 2024-03-27 |
Last Update Date | 2024-05-13 |