| NPI | 1720556814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61094840) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60391096) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2021-07-14 |