| NPI | 1225527831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61056500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149024969) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2023-07-27 |