NPI | 1821709205 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9377) |
Additional Taxonomies | 104100000X Social Worker (Licence: TN 12934) |
Enumeration Date | 2022-12-07 |
Last Update Date | 2024-11-14 |