NPI | 1992185367 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60904151) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60904151) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2022-11-21 |