NPI | 1306899083 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MD 12488) |
Additional Taxonomies | 104100000X Social Worker (Licence: DC LG1000397) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2007-11-06 |