| NPI | 1598239865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 682) |
| 104100000X Social Worker | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |