| NPI | 1699891267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 0276) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 000977) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |