NPI | 1508028473 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7164800-3501) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2008-07-01 |
Last Update Date | 2016-04-11 |