| NPI | 1861335259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: DE Q3-0011595) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW141980) |
| Enumeration Date | 2026-04-11 |
| Last Update Date | 2026-04-11 |