| NPI | 1992571889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AL 6081G) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 15892) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |