NPI | 1164687547 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 97346) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 63357) |
Enumeration Date | 2008-07-24 |
Last Update Date | 2020-12-03 |