NPI | 1366741787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-08573) |
Additional Taxonomies | 1041S0200X Social Worker, School |
Enumeration Date | 2011-03-24 |
Last Update Date | 2015-03-13 |