| NPI | 1043760044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925877) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 093947) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2019-06-03 |