| NPI | 1710024740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NH 997) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NH 104100000X) |
| 104100000X Social Worker (Licence: NH 104100000X 997) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-01-02 |