| NPI | 1932563921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL SW18973) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 3283) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2026-06-02 |