NPI | 1801276506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005196) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014881) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2015-06-08 |