| NPI | 1518684299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.107961) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2022008835) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |