NPI | 1801287388 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802088365) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802088365) |
Enumeration Date | 2015-02-05 |
Last Update Date | 2015-02-05 |