NPI | 1821032053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: ND 2348) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 2348) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2010-03-03 |