NPI | 1225798333 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041S0200X Social Worker, School (Licence: TX 69392) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 69392) |
Enumeration Date | 2021-12-30 |
Last Update Date | 2021-12-30 |