NPI | 1033504337 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-02 |
Last Update Date | 2017-10-23 |