NPI | 1821619412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 698) |
Additional Taxonomies | 104100000X Social Worker (Licence: WY 698) |
Enumeration Date | 2020-05-05 |
Last Update Date | 2024-02-12 |