NPI | 1538644901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61311672) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2018-10-01 |
Last Update Date | 2022-11-22 |