NPI | 1477036838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC20099) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2018-09-12 |
Last Update Date | 2022-01-11 |