| NPI | 1356954747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN pending) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN na) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |