| NPI | 1821849019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 8688) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 16606) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2026-04-07 |