NPI | 1700140472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1595) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 000397) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2012-06-27 |