| NPI | 1922446145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119619) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 088791-1) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2025-03-13 |