NPI | 1285291617 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26908) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-05-21 |
Last Update Date | 2021-06-10 |