| NPI | 1457586075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LG50078943) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD G10437) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |