| NPI | 1689609950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 6482) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 991341) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-12-04 |