| NPI | 1467336339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2025-0883) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NM SWB-2025-0883) |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-09-24 |