| NPI | 1619666088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 29738) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG200002306) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-05-02 |