NPI | 1194508754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NC P020375) |
Additional Taxonomies | 104100000X Social Worker (Licence: MD 30563) |
Enumeration Date | 2023-08-17 |
Last Update Date | 2024-05-31 |