| NPI | 1730792540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 100390) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 119303) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2026-04-01 |