NPI | 1578903944 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05534) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 8912) |
Enumeration Date | 2013-07-01 |
Last Update Date | 2023-02-06 |