NPI | 1285000893 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: IL 150014269) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801096221) |
Enumeration Date | 2015-08-18 |
Last Update Date | 2015-08-18 |