| NPI | 1184083206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL ISW 8702) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9430) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |