| NPI | 1801504899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID LMSW-42414) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 42414) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-10 |