NPI | 1578731030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC9785) |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
Enumeration Date | 2008-02-18 |
Last Update Date | 2008-02-18 |