| NPI | 1962231795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22348) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: AZ LCSW-22348) |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2025-02-05 |