NPI | 1629499074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079963) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: DC LC50079963) |
Enumeration Date | 2014-01-01 |
Last Update Date | 2014-01-01 |