| NPI | 1043165285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: CA 220010470) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA 82186) |
| Enumeration Date | 2026-03-03 |
| Last Update Date | 2026-03-03 |