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 |