| NPI | 1952843732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020620) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW133896) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2023-12-06 |