| NPI | 1790363315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL ISW15297) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 5185G) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-02 |