| NPI | 1861186322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LG500083416) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD LG500083416) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |