NPI | 1710248091 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: PA CW017941) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW128747) |
Enumeration Date | 2012-06-04 |
Last Update Date | 2021-10-14 |