NPI | 1023214004 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA cw014966) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA CW014966) |
104100000X Social Worker (Licence: PA CW014966) | |
106H00000X Marriage & Family Therapist (Licence: PA CW014966) | |
101YP2500X Counselor, Professional (Licence: PA CW014966) | |
101Y00000X Counselor (Licence: PA CW014966) | |
1041S0200X Social Worker, School (Licence: PA CW014966) | |
Enumeration Date | 2007-06-26 |
Last Update Date | 2012-12-13 |