| NPI | 1174229058 |
|---|---|
| Former Name | MICHAEL MUGAMBE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61114750) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC61114750) |
| 101YM0800X Counselor, Mental Health | |
| 101Y00000X Counselor | |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2025-09-03 |