| NPI | 1023666351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AR 9608-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 9608-M) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2024-03-22 |