NPI | 1588938237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16481) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: 16481) |
Enumeration Date | 2012-02-28 |
Last Update Date | 2023-10-03 |