NPI | 1558439182 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4018) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS LMSW 5746) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2024-07-29 |