| NPI | 1639415169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5054) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6523) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2018-09-28 |