| NPI | 1588397749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-23823) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-19229) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2026-06-09 |