| NPI | 1003304585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: HI LSW2732) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW78384) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2020-09-10 |