NPI | 1477531051 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 301) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 2833) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2007-07-08 |