NPI | 1184131823 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MN 34621) |
Additional Taxonomies | 104100000X Social Worker (Licence: LA 14671) |
Enumeration Date | 2018-01-03 |
Last Update Date | 2025-08-06 |