NPI | 1669571196 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: TN 6051) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW8400) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2014-10-03 |