| NPI | 1700385069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-10444) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-10285) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2022-10-24 |