| NPI | 1427471192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 17118) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50079608) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |