| NPI | 1437845401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 081067) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149.025258) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |