NPI | 1437367034 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000912) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015824) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2010-03-31 |