NPI | 1548448251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: FL SW10465) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303213) |
Enumeration Date | 2008-02-05 |
Last Update Date | 2011-12-12 |