NPI | 1205543824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: ID LMSW-41526) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-41526) |
Enumeration Date | 2022-11-02 |
Last Update Date | 2025-07-21 |