| NPI | 1841652245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2017044326) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2015025368) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2020-02-27 |