NPI | 1184828485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851117003) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2007-06-12 |
Last Update Date | 2023-08-01 |