| NPI | 1487451910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: RI CSW02570) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LCSW227575) |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |