| NPI | 1134747827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR L14214) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 8995) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2023-08-30 |