| NPI | 1548936362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: DC LC200002911) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LC200002911) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2025-02-13 |