| NPI | 1740476746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM I-07685) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM m3805) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2015-04-16 |