| NPI | 1578896536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923665) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2021-12-06 |