NPI | 1013642131 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2022-07-21 |
Last Update Date | 2022-07-21 |