NPI | 1447890785 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126932) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-01-15 |
Last Update Date | 2023-08-30 |