| NPI | 1497262281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG50082940) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50082940) |
| 171M00000X Case Manager/Care Coordinator (Licence: DC LG50082940) | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2025-05-28 |