NPI | 1881958353 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1013669) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
163W00000X Registered Nurse (Licence: DC RN1013669) | |
163WC0400X Registered Nurse, Case Management (Licence: DC RN1013669) | |
171M00000X Case Manager/Care Coordinator | |
374U00000X Home Health Aide | |
Enumeration Date | 2012-06-29 |
Last Update Date | 2025-08-19 |