NPI | 1043357973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20002) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 4635) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2025-06-13 |