| NPI | 1255195467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NV 5013-M) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM SWB-2024-0141) |
| 104100000X Social Worker (Licence: KS 13507) | |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-13 |