| NPI | 1942670302 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 10996)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 10996)  | 
| Enumeration Date | 2015-09-29 | 
| Last Update Date | 2015-09-29 |