NPI | 1891991980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW0000004839) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 4839) |
Enumeration Date | 2007-06-25 |
Last Update Date | 2022-04-29 |