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 |