| NPI | 1679366538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: 24014366) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |