NPI | 1477154052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 116015) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
104100000X Social Worker | |
Enumeration Date | 2020-11-02 |
Last Update Date | 2023-06-30 |