NPI | 1710082706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 890) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8008) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2010-02-01 |