NPI | 1255929865 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MD 24850) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MD 24850) |
Enumeration Date | 2021-01-08 |
Last Update Date | 2023-10-02 |