NPI | 1134556137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80129) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2013-10-04 |
Last Update Date | 2021-05-25 |