| NPI | 1093134785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 007893) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150014249) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |