| NPI | 1316065394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AL 08021941C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 1715) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |