NPI | 1952772881 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 5011) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101Y00000X Counselor | |
Enumeration Date | 2015-10-19 |
Last Update Date | 2024-06-25 |