| NPI | 1396421830 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 114307) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 13306) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2024-10-20 |