| NPI | 1982991469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL SW8918) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: FL 993601) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2023-07-19 |