NPI | 1497817860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 1028) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 11627) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2007-07-08 |