| NPI | 1518651231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 28286) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG200001818) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-08 |