NPI | 1245431188 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
Enumeration Date | 2007-05-29 |
Last Update Date | 2013-03-25 |