NPI | 1346569878 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13496) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW31711) |
Enumeration Date | 2010-05-24 |
Last Update Date | 2022-09-28 |