NPI | 1508091984 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 8103) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2009-05-28 |
Last Update Date | 2021-09-22 |