| NPI | 1356846877 |
|---|---|
| Professional Name | C. LIAM BURNSIDE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14110) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 088939) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-12-05 |