| NPI | 1841322799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 08342) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC 302297) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |