| NPI | 1326438151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q10001173) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW16993) |
| 104100000X Social Worker (Licence: DE Q10001173) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 15392) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 27074) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61388806) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW125617) | |
| 1041C0700X Social Worker, Clinical (Licence: NV 10446-C) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014246) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05990700) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW021853) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 091468) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW008250) | |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2026-03-13 |