| NPI | 1316612187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 12853-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR PLMSW) |
| 171M00000X Case Manager/Care Coordinator | |
| 104100000X Social Worker (Licence: AR 12853-M) | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2026-05-11 |