NPI | 1598298333 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 108232214-3502) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2017-04-08 |
Last Update Date | 2018-07-17 |