NPI | 1861945479 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801116996) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801099259) |
Enumeration Date | 2016-07-31 |
Last Update Date | 2023-09-14 |