NPI | 1841845872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCM103074) |
Enumeration Date | 2019-08-06 |
Last Update Date | 2020-11-18 |