| NPI | 1346437860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW-3566) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 5681) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2013-03-27 |