NPI | 1306353131 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801114697) |
Enumeration Date | 2018-01-02 |
Last Update Date | 2023-01-19 |