NPI | 1811379084 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014489) |
Enumeration Date | 2015-06-24 |
Last Update Date | 2020-01-06 |