NPI | 1902513047 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A14427) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2022-10-28 |
Last Update Date | 2023-11-28 |