| NPI | 1699532606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 6882) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 32157) |
| 174400000X Specialist | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2025-04-10 |