| NPI | 1386378289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OK 8813) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: MS M-11269) | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2025-08-19 |