| NPI | 1437580362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C015350) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 090639-01) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2024-07-29 |