NPI | 1326527821 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10954) |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2018-08-07 |
Last Update Date | 2023-08-28 |