NPI | 1598914400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4909) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 7242) |
Enumeration Date | 2008-09-16 |
Last Update Date | 2024-06-17 |