NPI | 1831715176 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OR L3548) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA LW00007813) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2020-06-23 |
Last Update Date | 2020-06-23 |