NPI | 1023127941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29817) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW013466) |
1041C0700X Social Worker, Clinical (Licence: CA LCSW29817) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2024-08-22 |