| NPI | 1821255084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 149005917) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 01653) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-19 |