NPI | 1942677349 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 83610) |
Additional Taxonomies | 104100000X Social Worker |
174400000X Specialist | |
Enumeration Date | 2015-09-01 |
Last Update Date | 2020-07-15 |