NPI | 1629196860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 1938-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C2646) |
1041C0700X Social Worker, Clinical (Licence: TN LSW0000003116) | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2024-02-07 |