| NPI | 1801595319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-07-12 |