| NPI | 1457136442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150104402) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2020011420) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |