NPI | 1265470496 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149019280) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004801A) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2022-07-21 |