| NPI | 1336858133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IN 33011069A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 257319) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-22 |