NPI | 1801147038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80765) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 192890) |
1041C0700X Social Worker, Clinical (Licence: WY 1451) | |
1041C0700X Social Worker, Clinical (Licence: WA LW61233547) | |
1041C0700X Social Worker, Clinical (Licence: AR 12022-C) | |
1041C0700X Social Worker, Clinical (Licence: UT 12784405-3501) | |
1041C0700X Social Worker, Clinical (Licence: ND 6344) | |
1041C0700X Social Worker, Clinical (Licence: OK 6272) | |
Enumeration Date | 2012-09-27 |
Last Update Date | 2023-03-25 |