NPI | 1568558682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I7992) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH I7992) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2015-08-11 |