| NPI | 1043030240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO LSW.0009925272) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 21192) |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2024-10-12 |