| NPI | 1881274488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125464) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 213508) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2022-11-22 |