NPI | 1861115974 |
---|---|
Former Name | DANIEL CALLISTUS FRIGO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 15966) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2024022110) |
1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-1089) | |
Enumeration Date | 2022-09-22 |
Last Update Date | 2025-04-07 |