NPI | 1326457375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV IC-853) |
Additional Taxonomies | 104100000X Social Worker (Licence: NV 6690-S) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2014-08-04 |