| 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 |