| NPI | 1063028223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: HI LSW2769) |
| Additional Taxonomies | 104100000X Social Worker (Licence: HI LSW-2769) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2025-08-07 |