| NPI | 1851446876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW 21058) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 5069-S) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |