NPI | 1164800439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: DC LG50078801) |
Additional Taxonomies | 104100000X Social Worker (Licence: MD 13982) |
Enumeration Date | 2015-05-07 |
Last Update Date | 2015-05-07 |