NPI | 1992178156 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 8098-c) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2015-11-09 |
Last Update Date | 2021-02-27 |