NPI | 1881128429 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TN 106871779) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2017-04-27 |