NPI | 1821557646 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4657) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2019-03-19 |
Last Update Date | 2022-05-22 |