| NPI | 1740809920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15765) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 13864) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-03-11 |