NPI | 1013332147 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008725) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2014-02-26 |
Last Update Date | 2023-07-14 |