NPI | 1275114316 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149027029) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2021-04-20 |
Last Update Date | 2024-05-07 |