NPI | 1275188799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021024924) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-08-02 |
Last Update Date | 2024-06-27 |