NPI | 1720752769 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 71755) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 105707) |
Enumeration Date | 2021-08-03 |
Last Update Date | 2024-09-17 |