| NPI | 1114307204 |
|---|---|
| Other Name | CLINT NIX |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 16514) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |