| NPI | 1508441809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851108933) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801108933) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-08-25 |