NPI | 1700096724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53941) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2007-05-22 |
Last Update Date | 2014-04-01 |