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 |