NPI | 1972645489 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251B00000X Case Management (Licence: TX 26309) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 26309) |
171M00000X Case Manager/Care Coordinator (Licence: TX 26309) | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2008-08-19 |