| NPI | 1427360296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OK 4597) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 7776) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2014-06-02 |