| NPI | 1376249110 |
|---|---|
| Other Name | DAVID FOMANKA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200002967) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50083792) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2024-09-03 |