| NPI | 1093554347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 11769) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2020024010) |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-07-01 |