NPI | 1538476742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014264) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2009028441) |
Enumeration Date | 2010-09-09 |
Last Update Date | 2010-09-09 |