| NPI | 1730840273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50082018) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-02-03 |