| NPI | 1144386210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 113) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 100625) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2007-07-08 |