| NPI | 1841486370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016499) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW126002) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2010-03-11 |