NPI | 1376880872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18524) |
Additional Taxonomies | 251B00000X Case Management (Licence: MD 18524) |
Enumeration Date | 2013-01-04 |
Last Update Date | 2013-01-04 |