| NPI | 1073188124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-1253) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-11510) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2026-02-16 |