| NPI | 1831562040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 22634) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: MD 22634) |
| 104100000X Social Worker | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2017-12-21 |