| NPI | 1447704952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 9813) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 5084) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |