| NPI | 1972985067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093783) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2025-10-01 |