NPI | 1760124994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 000227944) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2022-04-08 |
Last Update Date | 2022-04-08 |