NPI | 1588076855 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 89453) |
Enumeration Date | 2014-05-21 |
Last Update Date | 2023-05-25 |