NPI | 1982751574 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 104100000X Social Worker (Licence: MS M8249) |
104100000X Social Worker (Licence: TN LSW0000009067) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2019-02-28 |