| NPI | 1225691330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 110051) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW18571) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2021-08-20 |