| NPI | 1831441625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL SW18511) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 18423) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2022-08-25 |