| NPI | 1205529104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801121350) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801121350) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2026-07-09 |