NPI | 1649156472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2023-0226) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NM 402764) |
Enumeration Date | 2025-08-15 |
Last Update Date | 2025-08-15 |