| NPI | 1770866485 |
|---|---|
| Other Name | TOBIAS WILDE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24970) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 5797) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2024-02-19 |