| 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 |