NPI | 1750618336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4352) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2015021883) |
Enumeration Date | 2009-11-03 |
Last Update Date | 2018-02-22 |