| NPI | 1497339261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL isw20421) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2025-12-02 |