| NPI | 1134327380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OK 3401) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 6697) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |