| NPI | 1124496062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001480) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW130797) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2018-09-19 |