| NPI | 1528685419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 22212) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 104100000X Social Worker (Licence: OK 20487-P) | |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2026-03-11 |