NPI | 1730533647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: VA 0903002280) |
Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50081220) |
Enumeration Date | 2016-04-17 |
Last Update Date | 2016-04-17 |