NPI | 1922848456 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 13987650-3502) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2024-05-31 |
Last Update Date | 2024-05-31 |