| NPI | 1952192981 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 251B00000X Case Management | 
| Additional Taxonomies | 104100000X Social Worker | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-05-17 | 
| Last Update Date | 2025-06-13 |