NPI | 1225656663 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015259) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014903) |
Enumeration Date | 2020-07-13 |
Last Update Date | 2022-09-08 |