NPI | 1578201877 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801120107) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851114500) |
Enumeration Date | 2022-05-25 |
Last Update Date | 2025-04-16 |