NPI | 1285152405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26277) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
Enumeration Date | 2017-09-08 |
Last Update Date | 2024-09-16 |