| NPI | 1326291378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 51797) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 0637) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |