NPI | 1528811973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CO LSW.0009923969) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CO SSW24468284) |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-11-19 |