| NPI | 1275291866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LG200003037) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW140340) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2025-02-25 |