NPI | 1154069045 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW023231) |
Additional Taxonomies | 104100000X Social Worker (Licence: RI ISW03231) |
Enumeration Date | 2022-05-22 |
Last Update Date | 2022-05-31 |