NPI | 1831562040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MD 22634) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: MD 22634) |
104100000X Social Worker | |
Enumeration Date | 2015-11-10 |
Last Update Date | 2017-12-21 |