NPI | 1699507798 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: KS 13628) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2024023437) |
Enumeration Date | 2024-08-16 |
Last Update Date | 2024-09-19 |