NPI | 1710105952 |
---|---|
Other Name | JOE RODRIGUEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801013325) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101005262) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2007-07-08 |