NPI | 1386426179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62413) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2023-10-17 |
Last Update Date | 2024-10-01 |