NPI | 1831591486 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57038) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2014-09-25 |
Last Update Date | 2025-01-02 |