| NPI | 1649985656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW115111) |
| Additional Taxonomies | 104100000X Social Worker (Licence: RI CSW02923) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-12-21 |