| NPI | 1780319897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 13409962-3502) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 13409962-3502) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2024-04-02 |