| NPI | 1841259637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 112644) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 1278C) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2024-11-18 |