NPI | 1346537719 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14371) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC500078614) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2011-07-06 |