| NPI | 1447481106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016451) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW125724) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2010-12-21 |