| NPI | 1194381814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106774) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801099814) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2020-05-04 |