| NPI | 1164805412 |
|---|---|
| Other Name | MATT S TAYLOR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR A4886) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2021-06-01 |