| NPI | 1235378340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-30619) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-25238) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2023-09-28 |