| NPI | 1174829899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60332233) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW6033223) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2019-02-08 |