NPI | 1316485998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60043463) |
Enumeration Date | 2017-02-03 |
Last Update Date | 2022-02-17 |