| NPI | 1922315936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018003) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW128467) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2014-02-18 |