NPI | 1144009887 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW14032) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34010797A) |
1041C0700X Social Worker, Clinical (Licence: VA 0904016094) | |
Enumeration Date | 2023-09-22 |
Last Update Date | 2024-10-23 |