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 |