| NPI | 1487057782 |
|---|---|
| Former Name | MATHEW HIGGINS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2019-01-15 |