NPI | 1396160990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016218) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2014-02-19 |
Last Update Date | 2025-07-21 |