| NPI | 1598454407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AL 5938G) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR M14061) |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-05-05 |