NPI | 1750010880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: FL ISW15609) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-06-06 |
Last Update Date | 2025-07-28 |