| NPI | 1396498820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW008310) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 14645) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |